MEDICARE: MARGARET DISALVI WOLF OT/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XL0004X	Low Vision Occupational Therapist	OC001263L	PA

General Provider Information

NPI Number	:	1770810160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET DISALVI WOLF OT/L

Provider Business Mailing Address
First Line	:	5170 BRIARWOOD DR
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-9727
Country	:	US
Telephone Number	:	610-770-9873
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 GRAPE ST
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-5207
Country	:	US
Telephone Number	:	610-266-7700
Fax Number	:	610-266-9300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2009
Last Update Date	:	11/06/2009

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